Kevin R Bergeron, SUDPT

NPI #1700527280 in Milton, Washington

Provider Information

NPI Number: 1700527280
Entity Type: Individual
Name: Kevin R Bergeron, SUDPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: SUDPT
Enumeration Date: Apr 6, 2022
Last Updated: Aug 13, 2024

Practice Location

Address: 1703 DOUGLAS CT
City: Milton
State: Washington
ZIP Code: 98354-9727
Phone: (360) 888-7087

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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